Individual
PATRICK SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4330 LAKE BREEZE DR, STONE MOUNTAIN, GA 30083-5034
(404) 213-5568
Mailing address
4330 LAKE BREEZE DR, STONE MOUNTAIN, GA 30083-5034
(404) 213-5568
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
027628828
GA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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